Inspection · 2026-03-03
Licensing Inspector
Nanette Roberts
(757) 404-2322
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
Yes
Areas Reviewed
Areas of Standards Reviewed:
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site code compliance inspection was initiated and completed on 3/3/26. The on-site inspection began at 9:30am and ended at 12:30pm The inspector reviewed compliance in the areas listed above. There were 73 children present with 11 staff. The inspector reviewed 7 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the code compliance inspection. Subsidy standards that are not covered in Code were reviewed during this SHSI.
Information gathered during the inspection determined non-compliance(s) with applicable code sections, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 3/18/26. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-790-540-B
Each child's record shall include all required documentation. The records for Child 3 and Child 7 did not include all of the required information.
Plan of Correction: The facility responded: Enrollment form is updated to include all required information.
Standard 8VAC20-790-560-B
Subsequent tuberculosis (TB) screenings for staff are required at least every two years from the date of the initial screening. The following TB screenings were overdue and had not been updated: Staff 1 was due 9 months ago; Staff 2 was due 13 months ago; Staff 5 was due 8 weeks ago.
Plan of Correction: The facility responded: Staff 1, 2, 5 will have updated TB tests.
Standard 8VAC20-790-580-B
The vendor shall obtain documentation of additional immunizations once every six months for children less than two years oof age. The records for Child 2, 4 and 5 did not include 6 month immunization updates.
Plan of Correction: The facility responded: Records for child 2, 4, 5 are being updated, and a notification tool in ProCare will be used to monitor.
Standard 8VAC20-790-600-D-1
All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The record for Staff 2, employed for over 8 months, did not have documentation of current CPR certification.
Plan of Correction: The facility responded: Staff 2 will attend a CPR course.
Standard 8VAC20-790-600-D-2
All staff who work directly with children shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care. The record for Staff #2, employed for over 8 months, did not have documentation of current first aid certification.
Plan of Correction: The facility responded: Staff 2 will attend a first aid course.
Standard 8VAC20-790-600-F
Staff who work directly with children shall annually attend at least 16 hours of training and staff development to include the departments health and safety update course. Staff 2 and 4 did not complete the 3-hour Virginia Preservice Training for 2025.
Plan of Correction: The facility responded: Staff 2 and 4 will complete the 3 hour VA Preservice training.
Standard 8VAC20-790-630-C-2
In areas used by children of preschool age or younger electrical outlets shall have protective covers. There were 7 electrical outlets that did not have protective covers in classrooms used by infant through preschool age children.
Plan of Correction: The facility responded: All outlets are covered. Cleaning crew will replace as they clean. Morning walkthroughs to ensure.
Standard 8VAC20-790-640-A
Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There were unlocked cleaning materials in areas accessible to children in multiple classrooms. There were cans of spray paint in an unlocked cabinet in a PreK classroom.
Plan of Correction: The facility responded: All bleach water is locked up. Spray paint has been removed and staff counseled.
Standard 8VAC20-790-760-B-6
Disposable diapers shall be disposed of in a storage system that is foot operated or used in a way that neither the staff members? hand nor the diaper touches an exterior surface. The diaper pail in a toddler classroom was not hands free. The foot mechanism of the diaper pail did not lift the lid.
Plan of Correction: The facility responded: New trash cans were purchased for all diaper changing rooms.
Standard 8VAC20-790-770-D
Medication shall be kept in a locked place using a safe locking method that prevents access by children. Over the counter medication for Child 1 was in an unlocked cabinet in a two-year-old classroom.
Plan of Correction: The facility responded: All medication is locked and secure w/cabinet locks.
Standard 8VAC20-790-800-A-1
Evacuation procedures shall be practiced monthly. There was no documentation of an emergency evacuation practice drill conducted in January 2026.
Plan of Correction: The facility responded: Drills will be recorded/conducted monthly.